Individual
KURT OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2296
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R74415
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2014
Last updated
07/15/2014
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